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Contact Information

KATHARINE M BERMINGHAM CORDOVA, MD
14506 W GRANITE VALLEY DR
#206
SUN CITY WEST, AZ85375-6010
 Phone: 623-584-2127
 Fax: 623-584-1257
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for KATHARINE M BERMINGHAM CORDOVA · (Female)

NPI Number 1396962767
Status Active
Credentials MD
Entity Individual
Enumeration date 04/19/2007
Last updated 01/26/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 46040
  • AZ Medicaid 722830
  • AZ Other 722830 AHCCCS
  • AZ Other 1396962767 BLUE CROSS BLUE SHIELD
  • AZ Other 5Z0069 HEALTH NET
  • AZ Other P01106960 RAILROAD MEDICARE
  • AZ Other 1396962767 TRICARE
  • AZ Other 3044230 UNITED HEALTHCARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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